Organization · Type 2 NPI
Lodespoto Medical of NJ LLC
Neuroradiology Physician · Passaic, NJ
NPI number
1013319052
Active
Practice location
225 Passaic St
Passaic, NJ 07055-6414
Fax (844) 840-7352
Mailing address
PO Box 958
Port Jefferson Station, NY 11776-0811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neuroradiology Physician Primary | 2085N0700X | 25MA09300800 (NJ) |
Neuroradiology Physician: A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
About NPI 1013319052
Lodespoto Medical of NJ LLC's National Provider Identifier is 1013319052, issued on Sep 22, 2014. The primary taxonomy on file is Neuroradiology Physician (2085N0700X), and the practice location is in Passaic, NJ. The record was last updated on Apr 17, 2019.